A 62-year-old Lady With Rare Brain Tumour Treated With Proton Beam Therapy

Apollo Proton Cancer Centre (APCC), the first and only proton therapy centre in South Asia and the Middle East, has successfully treated a 62-year-old woman from Delhi with proton beam therapy (PBT) for a different type of rare brain tumour, the cancer centre said in a statement.

Nikhat Khan, a 62-year-old lady, with complaints of diabetes mellitus and hypertension, was evaluated with headache and diplopia in April 2022 and numbness on the left side of her face since June 2022. 

After conducting several tests, it was concluded, she had a brain tumour at the base of the skull. Khan was advised adjuvant radiation with proton therapy in view of the location of the tumor (base skull) and proximity to nearby vital structures like hippocampus, brain parenchyma, bilateral temporal lobes, optic apparatus, and parotids. Post the course of radiation therapy and surgery, the patient was discharged with a healthy report.

In India, the estimated number of cancer incident cases in 2022 is 14,61,427. According to the Indian Council of Medical Research's National Cancer Registry Program (NCRP) report released in 2020, the estimated number of new cancer cases in Delhi in 2020 was around 35,422. 

The report also mentioned that the incidence rate of cancer in Delhi was 110.3 per 100,000 population. The most common types of cancer in the Capital were reported to be breast cancer, cervical cancer, oral cavity cancer, lung cancer, and colorectal cancer.

According to the International Association of Cancer Registries (IARC), over 24,000 people die each year because of brain tumours. So far, the APCC has treated over 300 cases of brain tumours, 24 of which are from New Delhi.

Dr Sapna Nangia, Senior Consultant, Radiation Oncology, Apollo Proton Cancer Centre, Chennai said “Proton beam therapy represents a very sophisticated form of modern radiation therapy, offering the highest degree of precision and efficacy in cancer treatment. The Apollo Proton Cancer Center employs the latest technology in pencil beam scanning, which allows for spot-by-spot and layer-by-layer delivery of proton beams to the tumor site while minimizing exposure to surrounding healthy tissues.

She further said that this approach is particularly advantageous for tumors located in sensitive areas such as the base of the skull or lung, where traditional radiation therapy may cause significant damage to healthy tissue.

"Proton therapy has demonstrated excellent outcomes in curing or controlling many cancers while minimizing both immediate and long-term side effects of treatment. Ultimately, proton therapy not only improves patients' chances of survival but also enhances their quality-of-life post-treatment, she said.

The major advantage of proton therapy treatment is that protons slowly deposit their energy as they travel towards the cancerous tumour and deposit most of the radiation dose directly in the tumour without damaging the body further thus maintaining healthy tissues and organs without any complications, the statement said.